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416 2nd Street Galt CA 95632 Spill Bucket <br />AFFORDA® (209) 744-0112 (209) 744-0116 FAX <br />Test Report <br />TEST DATE <br />SITE NAME Ll? <br />ym v Lp tJ PHONE ( P,07 <br />ADDRESS 04p (e ® CONTACT: %1LIA"l, (— <br />15 -roc- V- -Tow 0A 95& -lo <br />D <br />3. ,SPILL BUCKET TESTING INF, <br />Test Method Used: <br />PWydrostatic <br />❑ Vacuum <br />Test Equipment Used: <br />6 <br />Identify Spill Bucket (By Tank <br />Number, Stored Product, etc. <br />Bucket Installation Type: <br />1 Q <br />V <br />irect Bury <br />❑ Contained in Sun3p <br />2 g� <br />irect Bury <br />❑ Contained in S <br />Bucket Diameter: <br />Bucket Depth: <br />13 <br />Wait time between applying <br />vacuum/water and start of test: <br />Test Start Time (TO: <br />90o <br />Initial Reading (RI): <br />/0 <br />Test End Time (TF): <br />/ 0 0 ®' <br />l0 U D <br />Final Reading (RF): V <br />'' <br />1/t V <br />Test Duration (TF — Ti): <br />Change in Reading (RF - R): <br />--�-- <br />�-- <br />Pass/Fail Threshold or <br />Criteria: <br />.Comments —(include informati n on repairs made prior <br />flo testing; and n <br />/ Not Present <br />i <br />❑ Other __ <br />Equipment Resolution: t �o " <br />3 ::4 <br />I� <br />irect Bury ❑ Direct Bury <br />3 ❑ Contained in Sump ❑ Contained in <br />Test Water: ❑Taken with tester 'Lefton site <br />I hereby certify that all the information contained in this report is true, <br />accurate, and in full compliance with legal requirements. Technician._ Zane A. Nimmo <br />ICC #: 5263322 -UT <br />OTTL #: 04-1676 <br />